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Background – Rwanda  Population: 10,473,282  Pop. Growth: 2.7 (17 th Worldwide)  TFR: 5.5 children/woman (22 nd worldwide)  Most densely populated country in Africa (similar in density to Netherlands) 48% of women want no more children 38% of women have unmet need for FP (want to limit or space births but weren’t using contraception)  Government of Rwanda has made family planning a national priority

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Background – IntraHealth’s Pilot Program  Funding from USAID’s Office of Population  NSV initially introduced in two districts  Created supply of trained providers  Generated demand for services in population  Introduced data collection system for clients

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Data – Program Evaluation  Conducted in Summer of 2009  Goal was to evaluate aspects of the pilot program that were successful and develop recommendations for a country- wide scale up

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Results – Program evaluation Sustainable Approach 10 doctors and 25 nurses trained in NSV Service expanded to 8 other (10 total) districts Community Health Worker outreach 252 men (54%) reported speaking to a CHW before deciding to have a NSV Service Extension Model 59% of NSVs were done as part of extension service Engagement of Political Stakeholders

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Conclusions  Given access and information, men in Rwanda are willing to accept sterilization as a from of family planning  Supply creation and demand generation need to be coordinated  IEC materials can be delivered at a community level in the absence of a mass media strategy